Dr Alice S Park, MD in La Jolla, CA - Medicare Obstetrics & Gynecology

Dr Alice S Park, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in La Jolla, California. Her current practice location is 9300 Campus Point Dr, Mail Code 0633, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (888) 309-8273.

Dr Alice S Park is licensed to practice in California (license number A94437) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093722290.

Contact Information

	Dr Alice S Park, MD
	9300 Campus Point Dr, Mail Code 0633, La Jolla, CA 92037-1300
	(888) 309-8273
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alice S Park
Gender	Female
Speciality	Obstetrics & Gynecology - Reproductive Endocrinology
Location	9300 Campus Point Dr, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093722290
Provider Enumeration Date: 08/01/2006
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3476553819
Enrollment ID: I20070108000547

Medical Identifiers

Medical identifiers for Dr Alice S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093722290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VE0102X	Obstetrics & Gynecology - Reproductive Endocrinology	A94437 (California)	Primary
207V00000X	Obstetrics & Gynecology	A94437 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alice S Park allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alice S Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Alice S Park, MD 9300 Campus Point Dr, Mail Code 0633, La Jolla, CA 92037-1300 Ph: (888) 309-8273	Dr Alice S Park, MD 9300 Campus Point Dr, Mail Code 0633, La Jolla, CA 92037-1300 Ph: (888) 309-8273

Reviews and Comments

Obstetrics & Gynecology Doctors in La Jolla, CA

Renee Marleen Nelson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, #60, La Jolla, CA 92037 Phone: 858-453-0753 Fax: 858-642-4270
Mariann Alperin, M.D., M.S. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 Phone: 858-657-8435
Tra V Pham, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9333 Genesee Ave, La Jolla, CA 92037 Phone: 858-882-8350
Dr. Mel M. Kurtulus, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 9850 Genesee Ave Ste 640, La Jolla, CA 92037 Phone: 858-677-0777 Fax: 858-677-0666
Benito Villanueva, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite 410, La Jolla, CA 92037 Phone: 858-550-4954 Fax: 858-550-4946
Dr. Seth Daniel Bulow, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9834 Genesee Ave, Suite 400, La Jolla, CA 92037 Phone: 858-622-9076

Dr Alice S Park, MD - Medicare Obstetrics & Gynecology in La Jolla, CA